<!--
To change this template, choose Tools | Templates
and open the template in the editor.
-->
<!DOCTYPE html>
<html>
    <head>
        <title></title>
        <meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
    </head>
    <body>
        <br>
        <div>
            <form id="client" name="ClaimSearch" method="post" action="ClaimSearch.php">
                <table id="form" align="center" cellspacing="0"cellpadding="2">
                    <tr class="col_head">
                        <td colspan="2">Claim Search</td>
                    </tr>
                    <tr>
                        <td align="right">Source ID: </td>
                        <td>
                            <input name="SourceID" size="8" type="text" id="SourceID" />
                        </td>
                    </tr>
                    <tr>
                        <td></td><td><br><input id="btnsubmit" name="btnsubmit" type="submit" value="Submit" onClick="return(valid(document.frmclaim.txttele));" />
                        </td>
                </table>
            </form>


